Individual
MRS. SOPHEAP NHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
28 NATIONAL ST, PITTSFIELD, MA 01201
(413) 446-8141
Mailing address
52 BROAD ST, PITTSFIELD, MA 01201-6951
(413) 446-8141
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-29338
MA
103K00000X
Behavior Analyst
1-18-29338
—
106S00000X
Behavior Technician
—
—
174400000X
Specialist
—
—
222Q00000X
Developmental Therapist
402
MA
Other
Enumeration date
05/29/2013
Last updated
05/31/2018
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